EP0700688A2 - Circuit de sécurité pour ventilateur artificiel - Google Patents

Circuit de sécurité pour ventilateur artificiel Download PDF

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Publication number
EP0700688A2
EP0700688A2 EP95306169A EP95306169A EP0700688A2 EP 0700688 A2 EP0700688 A2 EP 0700688A2 EP 95306169 A EP95306169 A EP 95306169A EP 95306169 A EP95306169 A EP 95306169A EP 0700688 A2 EP0700688 A2 EP 0700688A2
Authority
EP
European Patent Office
Prior art keywords
pressure
valve
safety valve
airway
patient airway
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP95306169A
Other languages
German (de)
English (en)
Other versions
EP0700688A3 (fr
EP0700688B1 (fr
Inventor
John J. O'mahony
Floyd R. Farnham Iii
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Puritan Bennett Corp
Original Assignee
Puritan Bennett Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Puritan Bennett Corp filed Critical Puritan Bennett Corp
Publication of EP0700688A2 publication Critical patent/EP0700688A2/fr
Publication of EP0700688A3 publication Critical patent/EP0700688A3/xx
Application granted granted Critical
Publication of EP0700688B1 publication Critical patent/EP0700688B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/201—Controlled valves
    • A61M16/202—Controlled valves electrically actuated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
    • A61M16/209—Relief valves

Definitions

  • This invention relates generally to breathing ventilators, and more particularly relates to a programmable safety circuit for a lung ventilator that provides ventilation pressure relief when ventilation pressure exceeds a set maximum pressure.
  • Medical ventilators are generally designed to ventilate a patient's lungs with breathing gas to assist a patient in breathing when the patient is somehow unable to adequately breath without assistance.
  • Pressure assistance can be instituted, for example, when the patient has already begun an inspiratory effort.
  • Conventional pressure controlled ventilator systems typically implement a gas flow control strategy of terminating or reducing breathing gas flow when the target pressure is reached, to limit patient airway pressure.
  • Conventional ventilators have also typically limited ventilator pressure to a maximum by a pressure relief valve or safety valve with a fixed maximum rated pressure.
  • a pressure relief valve or safety valve with a fixed maximum rated pressure.
  • Patient airway pressure can be also be actively controlled by an exhalation valve, although in some ventilators such exhalation valves can be simply closed during inspiration in order to achieve a set maximum ventilator pressure, so that it is possible for excessive pressure buildup to occur during inspiration pressure assistance.
  • Ventilator system malfunctions can also result in overpressurization in the event of failure of a high pressure gas delivery valve controlling introduction of one of the breathing gas components into a high pressure blender.
  • one known piston based lung ventilator utilizes a rolling-seal piston of low inertia and low frictional resistance for delivery of breathing gas, which is mixed in the piston chamber.
  • the piston chamber has an inlet connected to the airway of the patient, and a one-way valve allows air to enter the piston chamber during the exhalation phase of the respiratory cycle.
  • Another gas inlet to the piston chamber controlled by a solenoid valve, allows introduction of a desired gas mixture into the piston chamber.
  • a valve for introducing the gas mixture is opened during expiration as the piston reciprocates to a baseline position.
  • the oxygen content of the inspired gas can also be enriched by admitting a continuous flow of oxygen into the piston chamber through another inlet.
  • the gases mixed in the breathing gas are supplied at high pressure. If a valve controlling the introduction of high pressure oxygen or air fails, breathing gas can be provided to a patient at an excessive pressure.
  • embodiments of the present invention provide for a lung ventilator safety valve circuit that can be programmed to open at any desired pressure, and a method for relieving pressure in a patient airway of a ventilator system incorporating the safety valve circuit.
  • the safety valve circuit allows ventilation pressure relief that is appropriate for the desired maximum pressure that is set.
  • the safety circuit includes a normally open, pulse width modulated solenoid valve that automatically opens in the event of a power failure, and permits low power consumption and a low operating temperature for the valve.
  • a particular embodiment of the invention provides for a lung ventilator safety valve apparatus for relieving pressure in a patient airway of a ventilator system, that includes a safety valve connected to a patient airway of a ventilator system.
  • the safety valve has a normally open position venting pressure from the patient airway and a closed position.
  • the safety valve is a pulse width actuated solenoid valve biased to the normally open position.
  • Pressure sensor means are connected to the patient airway for monitoring pressure in the patient airway and for generating a pressure signal indicative of sensed pressure in the patient airway.
  • Valve control means are also connected to the pressure sensor means for controlling the operation of the safety valve responsive to the pressure signal.
  • the valve control means preferably includes means for setting a maximum airway pressure threshold, and means for comparing the sensed pressure in the patient airway with the maximum airway pressure threshold.
  • the valve control means preferably normally generates a valve close signal until the sensed pressure in the patient airway is equal or greater than the maximum airway pressure threshold, at which time the valve control means generates a valve open signal.
  • Valve switching means are also preferably provided for receiving the valve close signal and the valve open signal for switching the safety valve between the closed position and the open position in response to the valve close signal and the valve open signal, respectively.
  • the valve switching means comprises a power source for providing cyclical pulses of power for operating the solenoid valve, and pulse width modulation means for modulating the duration of the pulses for moving the safety valve between the closed position and the open position.
  • Certain embodiments of the invention also provide for a method for relieving pressure in a patient airway of a ventilator system including a safety valve connected to a patient airway of a ventilator system and having a normally open position venting pressure from the patient airway and a closed position.
  • pressure is monitored in the patient airway and a pressure signal indicative of sensed pressure in the patient airway is generated.
  • a maximum airway pressure threshold is set, and the sensed pressure in the patient airway based upon the pressure signal is compared with the maximum airway pressure threshold.
  • a valve open signal is generated when the sensed pressure in the patient airway is equal or greater to the maximum airway pressure.
  • the safety valve is then switched to the open position in response to the valve open signal.
  • the step of switching the safety valve preferably comprises providing cyclical pulses of power for operating the solenoid valve, and modulating the duration of the pulses for moving the safety valve to the second, closed position.
  • Fig. 1 is a schematic diagram of a lung ventilator safety valve circuit embodying the invention.
  • the invention is embodied in a lung ventilator safety valve circuit 10 for relieving pressure in a patient airway of a ventilator system, such as a ventilator system providing pressure supported breaths, and having a limited air supply.
  • a ventilator system such as a ventilator system providing pressure supported breaths, and having a limited air supply.
  • the lung ventilator safety valve circuit includes a safety valve 12 connected to a patient airway 14 of a ventilator system, such as the inspiratory line 16 connected through a check valve 18 to a piston cylinder 20 of the ventilator.
  • the safety valve is preferably a two position spring loaded solenoid valve, in which the spring 22 of the solenoid valve urges the valve to a normally open position 24 venting pressure from the patient airway.
  • the safety valve When activated, the coil 26 of the solenoid urges the valve to a closed position 28, allowing the inspiratory line to deliver pressure support without diminution from the piston cylinder of the ventilator.
  • the safety valve is preferably a pulse width modulated type of spring biased DC solenoid valve actuated by pulse width modulated signal from a pulse width modulator 30, which varies the duration of the power signal provided by a power source 32, such as a DC power supply.
  • a power source 32 such as a DC power supply.
  • the safety valve can be controlled by amplitude modulation of an AC type solenoid, or by analog control of the base of a power transistor which would control the current available to the solenoid.
  • the solenoid in order to gain power consumption control, which in turn provides force control, the solenoid is preferably provided with a pulse width modulated signal with a high enough frequency to ensure that the solenoid was not given enough time to retract.
  • the safety valve can be utilized as a relief valve. When the solenoid is closed, with a given power consumption, the solenoid will generate a specific force. Once this relationship is determined for the specific solenoid, by varying the power consumption of the solenoid, it is possible to program the valve to open like a relief valve at a given pressure.
  • the safety valve may also be used in conjunction with a pressure transducer which would be used to determine if airway pressure had exceeded the high pressure limit set by the operator.
  • pulse width modulation can reduce power consumption of the solenoid. Solenoid valves normally require a higher power consumption to close than to remain closed, as the closing force is normally greater than the holding force. By pulse width modulation control of power consumption of the solenoid, power required by the solenoid can be reduced once the solenoid is closed, without affecting the sealing properties of the solenoid valve.
  • a pressure transducer 34 is preferably connected through a conduit 36 and a valve 38 to the inspiratory line of the patient airway for monitoring pressure in the patient airway.
  • the pressure transducer generates a pressure signal indicative of sensed pressure in the patient airway that is received by a control unit 40 via line 42.
  • the control unit is connected to the pulse width modulator via line 44 for controlling duration of the power signal pulses to the solenoid valve.
  • the control unit also preferably includes means, such as a dial or keyboard, for example, for setting a desired maximum airway pressure threshold appropriate for a patient receiving breath assistance from the ventilator.
  • the control unit includes means for comparing the sensed pressure in the patient airway, indicated by the pressure signal, with the maximum airway pressure threshold, which can be set by an operator, or which can be under program control set by an operator, for example.
  • the means for setting a maximum airway pressure threshold is programmable, so that the safety valve circuit can be made to be compatible with various types of ventilation strategies, such as APRV (Airway Pressure Relief Ventilation) for example, in which two baseline pressure levels are cycled at a fixed rate in time with a constant flow rate, and a programmed cycle of patient airway pressure is superimposed over the preset baseline pressures.
  • APRV Airway Pressure Relief Ventilation
  • the control unit reduces the duration of the pulsed power signal, to switch the solenoid valve to its normally open position, to vent excess pressure in the patient airway to the atmosphere.
  • pressure is monitored in the patient airway by the pressure transducer, to provide a pressure signal indicative of the sensed pressure in the patient airway.
  • a maximum airway pressure threshold is set in the control unit by an operator.
  • the control unit receives the pressure signal from the pressure transducer and compares the sensed pressure in the patient airway with the maximum airway pressure threshold.
  • the control unit generates a valve open signal when the sensed pressure in the patient airway is equal or greater to the maximum airway pressure, and the safety valve is then switched to the open position in response to the valve open signal.
  • the step of switching the safety valve preferably comprises providing cyclical pulses of power for operating the solenoid valve, and modulating the duration of the pulses for moving the safety valve to the second, closed position.
  • the described embodiment provides for a programmable lung ventilator safety circuit and a method for operating the circuit, in which the safety circuit can be set to open at a pressure appropriate for the patient receiving breath support, to provide ventilation pressure relief when airway pressure reaches the set maximum pressure.
  • the normally open, pulse width modulated solenoid safety valve opens in the event of a power failure, and the pulse width modulation of operation of the valve permits low valve power consumption and a low operating temperature.

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
EP95306169A 1994-09-12 1995-09-04 Dispositif de valve de sécurité pour ventilateur artificiel Expired - Lifetime EP0700688B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US304047 1989-01-30
US08/304,047 US5596984A (en) 1994-09-12 1994-09-12 Lung ventilator safety circuit

Publications (3)

Publication Number Publication Date
EP0700688A2 true EP0700688A2 (fr) 1996-03-13
EP0700688A3 EP0700688A3 (fr) 1996-03-27
EP0700688B1 EP0700688B1 (fr) 2002-12-11

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
EP95306169A Expired - Lifetime EP0700688B1 (fr) 1994-09-12 1995-09-04 Dispositif de valve de sécurité pour ventilateur artificiel

Country Status (5)

Country Link
US (2) US5596984A (fr)
EP (1) EP0700688B1 (fr)
JP (1) JPH08173539A (fr)
CA (1) CA2157537A1 (fr)
DE (1) DE69529127T2 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5954051A (en) * 1997-02-06 1999-09-21 Instrumentarium Oy Ventilator for intensified breathing and valve in patient conduit of apparatus for intensified breathing
US9987480B2 (en) 2013-01-16 2018-06-05 Infinity Medical Engineering, Llc Pressure controlled magnetic valve for a catheter

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* Cited by examiner, † Cited by third party
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DE69529127D1 (de) 2003-01-23
JPH08173539A (ja) 1996-07-09
DE69529127T2 (de) 2003-11-06
EP0700688A3 (fr) 1996-03-27
EP0700688B1 (fr) 2002-12-11
US5909731A (en) 1999-06-08
CA2157537A1 (fr) 1996-03-13
US5596984A (en) 1997-01-28

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